Active NPI
Russell Alan Garner, RPH
- Pharmacist
- Wakefield, VA
National Provider Identifier
1316044662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202005095
- Practice address
- 105 Railroad Ave
Wakefield, VA 23888 - Phone
- (757) 899-2551
- Fax
- (757) 899-3403
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202005095 | VA | Primary |
Addresses
Primary practice location
105 Railroad Ave
Wakefield, VA 23888
Mailing address
38485 Warrique Rd
Ivor, VA 23866-2725
Phone (757) 859-9496
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202005095 | Other | VA | PHARMACIST LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202005095 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakefield Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Wakefield Pharmacy
- Community/Retail Pharmacy
- Wakefield, VA
- NPI 1306814793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316044662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38485 WARRIQUE RD",
"city": "IVOR",
"state": "VA",
"postal_code": "238662725",
"telephone_number": "757-859-9496",
"fax_number": "757-899-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 RAILROAD AVE",
"city": "WAKEFIELD",
"state": "VA",
"postal_code": "23888",
"telephone_number": "757-899-2551",
"fax_number": "757-899-3403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER",
"first_name": "RUSSELL",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202005095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "0202005095",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, VA
- Aariyana Britton
- Care at Home Facilitators, LLC
- Lauren Adkins Collier, FNP
- Favor of Helping Hands LLC
- Lisa V Hawkins
- Jennifer Clark Jones, CERTIFIED HAIR LOSS
- Obici Medical Management Services, Inc. (Wakefield Medical Center)
- Sharon Dale Rogers, PH.D., ATC
- Sentara Medical Group (Sentara Family Medicine Physicians)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.